Provider Demographics
NPI:1275051575
Name:CHRISTOPHER THOMAS D.D.S. INC.
Entity Type:Organization
Organization Name:CHRISTOPHER THOMAS D.D.S. INC.
Other - Org Name:UPTOWN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-832-0242
Mailing Address - Street 1:1716 TELEGRAPH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2108
Mailing Address - Country:US
Mailing Address - Phone:510-893-4321
Mailing Address - Fax:510-893-4323
Practice Address - Street 1:1716 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2108
Practice Address - Country:US
Practice Address - Phone:510-893-4321
Practice Address - Fax:510-893-4323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA617971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty